Individual
RYAN J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2071
(205) 759-6925
Mailing address
2259 W SAINT PAUL AVE, CHICAGO, IL 60647-5425
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
036-113954
IL
2086S0102X
Surgical Critical Care Physician
558-320
WI
2086S0127X
Trauma Surgery Physician
Primary
036-113954
IL
2086S0127X
Trauma Surgery Physician
37362
AL
Other
Enumeration date
07/18/2006
Last updated
02/19/2025
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